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Home My WebLink About15175-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. AMENDED CERTIFICATE OF OCCUPANCY No Z-20904 Date JULY 31~ 1992 THIS CERTIFIES that the building Location of Property 1210 COX NECK ROAD House No. County Tax Map No. 1000 Section 113 Subdivision NEW DW~.¥.r. ING ~4ATTITUCK~ N.Y. Street Hamlet Block 14 Lot 5 F~led Map No. Lot No. conforms substantially to the Application for Building Pern~t heretofore f~led ~n th~s office dated AUGUST 4, 1986 pursuant to whlch Building Permit No. i5175-Z dated AUGUST 6, 1986 was issued, and conforras to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is · ssued is ONE FAMILY DW~r,T.ING WITH GARAGE & ATTAC~ED WOOD DECKS AS APPLIED FOR * The certificate is issued to of the aforesazd buzldmng. HENRY J. & CLAIRE PESCE (owners) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 86-SO-109-APRIL 1~ 1987 UNDERWRITERS CERTIFICATE NO. N-799176-MARCH 19~ 1987 PLUMBERS CERTIFICATION DATED APRIL 1~ 1987-T.R.T. PLUMBING & HEAT. *THIS AMENDS CO Z-15723 DATED MAY 4, 1987. ~ld~ng Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PER.~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 15175 County Tax Mop No 1000 Sect,~: J 1_~.~... Block ..... !..~ ......... LotNo ..... .~. ...... p.rsuon, tO oppll¢otlon doted . ~~. ~' ,.t.~ ...... , lO~,(Ik, ond opproved by the Bu,ldlng Inspector, Rev 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-t802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate locatmon of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Complmance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed s~te plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or bumldings and "pre-exzstzng" land uses: 1. Accurate survey of property showing ail property lines, streets, building and unusaal natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Buzldmng Inspector shall state the reasons therefor in writing to the applicant. C. Fees i. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimmmng pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-exmsting Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4, Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Constructmon ........... Old Or Pre-exmstzng Bumldmng .......... House No. Street Hamlet Ob~ ,~ , Onwer or Owners of Property .......................................................... . ... . . . . County Tax Map No 1000, Section .... {./.._5. ..... Block ....... /..~. ...... Lot ...... ~..i-- ............. Subdivision .......... Filed Map ........... Lot . Permit NO.. '5175Z .... Date Of Permit. 8~6~ .... Applicant ........ ~p?~.~S, ~N ................. ............... Health Dept Approval .... Underwriters Approval ........... Planning Board Approval........ ............. ... Request for: Temporary Certificate ........... Final Certicate ........... q lq<Z' .................. c o 2. RO 'o FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall 5outhold, N.Y. Certificate Of Occupancy NO Z-15723 Date M.ay. 4, 1987 THIS CERTIFIES that the bmldmg One Family dwelling Locatton of Property I210 Cox Neck Road Mattituck, New York House No Street Hamlet County Tax Map No I000 Section , ] 13 .. .Block .14 ........ Lot . .5 .......... Subdivision .M/9..Heri.~.ag.e. Ha.rb.o.r ...... Filed Map No .6.8.5.3...Lot No ...... .5 .... conforms substantially to the Apphcatmn for Bmld~ng Permit heretofore filed in this office dated Au g u s t 4, 1986 pursuant to which Building Permit No. 15 I 75 Z dated Au g u s t 6, I 9.8.6 .... was issued, and conforms to all of the requirements of the apphcable provisions of the law The occupancy for which this certificate is issued is .... ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to RIVE RS IDE HOME S, INC. ........ r'o'~n'o;, r~'~i~i~i:~ .............. of the aforesaid braiding. Suffolk County Department of Health Approval 86 - S O- 109 UNDERWRITERS CERTIFICATE NO ...... N 799176 PLUMBERS CERTIFICATION DATED: April l, 1987 / Bu~ng Inspector Rev I181 FORM NO. 6 TOWN OF $OUTHOLD Buildmng Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. Thru apphcation must be filled m typewmter OR ink, and submitted m~mmmm to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property w~th accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. F~nal approval of Health Dept. of water supply and sewerage dmposal-(S-9 form or equal). 3. Approval of electrmal installation from Board of F~re Underwriters. 4. Commercml buddings, Industrml buddings, Multiple Residences and similar buildings and installa- tmns, a certificate of Code compliance from the Architect or Engineer responmble for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For exmtmg buddings (prior to Aprd 1957), Non-conforming uses, or buildings and "pre-ex~sting" land uses: I. Accurate survey of property showing all property hnes, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or prewous owner as to use, occupancy and condition of buildings· 3. Date of any housing code or safety inspection of buildings or premises, or other perttnent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $25.00 -- BUSTNF, SS $50.00 2. Certificate of occupancy on pre-exmting dwelhng $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.0~ / 4.Vacant Land C.O. $ 20.00 C~.../.,.7/?' 5.Updated C.O. $ 50.00 Date ................. NewConstruction Old or Pre-ex~sting Budding Vacant Land 1210 Cox Neck Road Matt~tuck, N.Y. Location of Property ................................................................... House No. Street Owner or Owners of Property Rzverside Homes, Inc. County Tax Map No. 1000 Section I 13 BI 14 5 · ock ....... Lot ............ Subd~wmon M/o Heritage Ear?or Fded Map No 6853 .Lot No. 5 8/6/86 . . Riverside Homes, Inc. Permit No. ] 5 ~ 75Z Date of Permit .......... ~pp,cant .......................... 86-S0-109 Health Dept, Approval ....................... Labor Dept. Approval ....................... · N799176 Underwmters Approval ....................... Planning Board Approval .................... · . x Request for Temporary Certificate ..................... Final Cert~hcate ....................... Fee Submitted $ ...2.5,.,0o0. .................. .~ Construction on above described bulld~l~ ~.~.j_s a,l ~a~j~des andjcegumatlons.-- _ T.R.T. PLUMBING & HEATIN LTD. 26 CARLTON AV. MASTIC N.Y 11950 (516) 399-0921 Date: Aprlt l, 1987 BuildinE DeDartment Town of Southold Town Hall Southold, N~w York 11971 Re: Building Permit No.: 15175Z Owner: Riverside Homes, Inc. Gentlemen: for the ~ptioned Dob contains less than 2/]0 of I% lead. Very t~ut¥ youms, TRT PLUMBING AND HEATING P~_esident TT~eac to before me this of Apr: Notar, ~ fIELD FOUNDATION ( 1st FOUNDATION ( 2nd ) ROUGH FRAME & ?LUMBING I~SULATION FER N. STATE ENERGY CODE COMMENTS: Riverside Homes,~ Inc. September 25, 1986 Building Department Main Roao 8outhold, New York 11971 Re: Building Permit No. 15175Z Gentlemen: Enclosed as the additional for construction. EAO:pe eno. herewith please find our c~ack for $13.20, fee due regarding the amended plans ~zabeth A. 'Oann~ are Riverside Homes, Inc. P 0 BOX 274 1159 West Mmn Street R~verheed, N Y 11901 Phone 516 - 727-3395 August 27, 1986 Building Department Main Street Southold, New York 11971 Re: Permit No. 15175Z Gentlemen: Enclosed please find 3 copies of new blueprint~ for this house showing changes made by the customer. Please reappro~e for construction. ~..-~annaza~o -"~- 7GS-18e2 ~'"~ BUILDING DEPT. ~ IHSPECTIOH FOUNDATION XST []ROUGH PLBG. FOUNDATION 2ND []INSULATION FRAMING []FINAL REMAR~KS: ~ ~~ ~/~ P/~/~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION [ ] ROUGH PLBG. 2ND [ ] INSULATION [ ] FINAL [ ] FRAM~G DATE 765-180:) BUILDING DEPT. INSPECTION FOUNDATION 1ST [] ROUGH PLBG.~-'~~ FOUNDATION :)ND [ ] INSULATION FRAMING [/~INAL REMARKS'* DATE, 76~-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION DATE~//?/~ ? INSPECTO~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING~'~ [ ] FI..NAL REMARKS: '~/~ - _~.'~ DATE //?~1"2-2-'-/~' INSPECTOR,~~ THE NEW YORK BOARD OF FIRE UNDERWRITERS 103.~03.8 BUREAU OF ELECTRICITY BB JOHN STREET, NEW YORK, NEW YORK 10038 ~,.,,~ ~oh ~. ~ ~..,,~.,,..~ o.~.~ ~o/~ N 799176 THIS CE~IFIES THAT Pesce, e/s Cox Neck Road, 465/28' s/o W. Phalla Rd., Mattituck, N.Y .~sexom~nedon ~ ~2~ ~7 andfoundtobe~ntoenphan~eu~ththereq.~re.tentsofth~sBoard 1070 FIXTURE OUTLETS 23 49 30'~FIXTURES 23 RANGES ~:OOKING DECKS OVENS jDISH WASHERS EXHAUST FANS DRYERS i FURNACE SERVIC~ DISCONNECT OTHER APPARATUS 1-G.F.C.I. i $moke detector Peter Charbonneau 35 Sheppard La. SmJthtown, N.Y 11787 LiC#2697E GENERAL MANAGER ~ 3.1 Per ~, cerhflcote must not be altered m any manner, return to the office of the 8oord ~f incorrect Inspectors may be idenhfled by their credenhals COPY FOR BUILDING DEPARTMENT THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER 'FORM NO 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 d/~--'~,,.~ ~'~' .'~" (. ~5'~ TEL.: 765-1803 Examine .-r. , 19 Approved~-u:~t,~,~r' (~ , 19~9(a Permit No .1 .~.! ~ ~' Disapproved a/c ..... (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ........... ,19. Date ..... , 19 INSTRUCTIONS a. Ttus application must be completely filled m by typewnter or in mk and submitted to the Buildmg Inspector, w~tl sets of plans, accurate plot plan to scale. Fee according to schedule· b. Plot plan showing location of lot and of bmldmgs on premises, relationship to adjoming premises or public stre, or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of ttus apt cation c. The work covered by this application may not be commenced before issuance of Building Permit d Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant Such peni shall be kept on the premises available for inspection throughout the work· e. No building shall be occupied or used In whole or In part for any purpose whatever until a Certificate of Occupan shall have been granted by the Budding Inspector APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Budding Permit pursuant to t Budding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the constructmn of buddings, additions or alterations, or for removal or demohnon, as hereto describ, The applicant agrees to comply with all apphcable laws, ordinances, building code, housing code, and regulatmns, and admit authorized inspectors on premises and m building for necessary inspections. .RIVERS.ID.E.H.O.ME.S:..INC: (Signature of applicant, or name, if a corporation) PO .Bo.x.27~,..Riv~pb¢~0, U¢~.¥0PE %~901 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build, ..... owner/b .uzld.er ............ Name of owner of premises Riversr%de Ho.re.as ~. Inc. . ................... (as on the tax roll or latest deed) If apphcant ~s a corporation, signature of duly authorized officer (Name and title of corporate officer) ~. Gordon. Preszdent Builder s LlcenseNo ......... Plumber's License No 2040P Electrician's License No. 2~¢75 Other Trade's License No Location of land on which proposed work will be done House Number Street E/S C?x.Ne.c.k Rd. 46.5.28.'. S/.O.W. estpba1.za' .Rd .... Matittuck Hamlet County Tax Map No 1000 Section t.1.3 Block . . ~4 ...... Lot... ~. Subdivision . Horitgg~ H~t~O~ Filed Map No 6853. Lot (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction a Existing use and occupancy . v~q~.r~; l~d ................................ b Intended use and occupancy .~ ~aa~y 4~lxng .. 3. ,N~a~t.u_r£ of work (check wtuch applicable) New Bufldmg . .x Addition Alteration Repair ........ Removal ........ Demolition ........ Other Work ....... (Descnphon) 4 Estimated Cost ............................ Fee ............................ ~- (to be pa~d on filing this application) 5. If dwelling, number of dwelling units 6 Number of dwelling units on each floor 2 ~ If garage, number of cars .2 ?a.v ........................................ 6. If busmess, commercial or mixed occupancy, specify nature and extent of each type of use .............. 7. Dunenslons of existing structures, if any Front ........... Rear ........... Depth ........... Height ........... Number of Stones ........................................ Dmaenslons of same structure wtth alterations or addmons Front .............. Rear ............ Depth ......... Height .............. Number of Stones ........... 8. Dunenslons of entire new construction' Front ...5.8 '.4'. ..... Rear . .5.~.' ~.". ....... Depth .3.5. ............ b~. ~f ....... 2 Hel~h.t . . .2.2.'. ixh,m ~ ,~ q~,.~4~.o . ........................................ 9. Sizeoflot Front... 3..70.76. . Rear ..t.3.Y..~.~. ......... Depth 289.~_5 10 Date of Purchase .. appv?.x.i.973.~)-9.~.~ ........ Name of Former Owner ... SOu.]-..L.e,.n.e? ......... 11. Zone or use district in which premises are situated ........................................... 12. Does proposed construction violate any zoning law, ordmance or regulation' . N.q .................... 13 Will lot be regraded yea .............. Will excess fill be removed from premises Yes 14 Name of Owner of premises .R£v.a~2aide t~c~rq~ Address ...P0. B. qx..2.7.b. ,..R. zv.a~r~ No. 727-3395 '7~7-3395 Name of ArchRect . B..Erxck. S. on. ......... Address Soul:hampton .. Phone No. 727-'3395 Name of ContractorR~.ve.v. st.d.efi. qm.e.s., .I. nc... ....Address 'l}.l.~)~r~ie.'a.d. ii'i.. Phone No ....... PLOT DIAGRAM Locate clearly and distinctly all buddings, whether existing or proposed, and indicate all set-back dunenslons fro property hnes. Give street and block number or descnphon accordmg to deed, and show street names and indicate wheth. interior or comer lot see attached suvvey STATE OF NEW YORK, COUNTY OF..$UF. FOLK.... S S ..... ~I~I.Z;B,B. EiT. H. A.. C.A. NN. AZA. R0. (Name of individual s~gnmg contract) above named. being duly sworn, deposes and says that he is the applicar He is the . . .atg~rt~ :~qrl qva'!a.~/.b.u.~.l, dezl. ................................... (Contractor, agent, corporate officer, etc ) of smd owner or owners, and is duly authorized to perform or have performed the said work and to make and Erie th apphcanon, that all statements contained m th~s apphcatmn are true to the best of his knowledge and behef, and that work wdl be performed ~n the manner set forth m the apphcatlon filed therewith. Sworn to before me th~s ..C7-- U ¢ Notary Pubhc,~., . ~.,.~~ ./~..-'.~..~:-. ...... Cou~ -6 U (F~Op Ho ) t'q YEARI!i r~ilATE OF APPI~0VAL NOTE. MAP R~ERJCK VA~UYL, P C. LICENSED LAND G~EN~T NEW YO~K SUFFOLK CO HEALTH DEPT APPROVAL H S NO ¢~ STATEMENT OF INTENT ~-~.~¢~TER SUPPLY AND SEWAGE DISPOSAL S'~EMS FOR THIS RESIDENCE WILL C~~HE STANDARDS OF THE DATE H S RE~ NO SUFFOLK CO TAX MAP DESIGNATION DIST SECT BLOCK PCL ~000 ~ f3 t4 5 OWNERS ADDRESS DEED b ~,/~' P ' TESt HOLE I STAMP SEAL ~.,, · . 4" I SUFFOLK COUNTY HEALTH DEPARTMENT ,-Y- ! / / ,, ( PI~OF. ~O ) SINGLE FAMILY DWE ONLY ~ ,r H.D. rREF. NO._ 1[4-,5o_:/.~..~---/'~,, ", -, , ~ O"L~ DATE STATEMENT OIr iNTENT PPTHiS'* FACILITIES ' ~ '~/O. ..... l- __ _ .... t A E DISPOSAL~k,,- n-- iqAND wA'rF..R 8_~?P_,r.,,,~j/t.k .'.:~F/, OR ~ '; ....... ~T~.~'ASTiE~oI~I~AiVE BEEN INBPi:-"C'T~-D' J~rY DEpARTMfNT '~'T[.ilII~ FOR THIS RESI~IINCE II~I~L - - ...... ____ ~ ~.~,,~,~,C,TO.S,'. 45,t ~9,~ ~)t~'l~ ~ ~1'O B CON! ...... -~ -~~ ~' "'" _ .. ~ ~F ~K CO. D[~. M HEALTH ~RV~. t SUFF~K COUNTY ~PT. ~ ~ALTH ~ ~ SERVICES -- FOR APPROVAL OF ~ ~ .. s. ~. ~.; ~- ~* ~ , ~ ' ~ r ~ i :i -~ ~j. ~ALE-~"1' ~ov~o: -: ~ ~ ~'~ ~ST._____-__~. ~,~~CT' ~~~L' , , I " ~L[,' ' "~ MAP OF ~E~TY AT m ,,, , ................. M.~.~,~ ~5 ~L~/YE~ .......... ~Y 15,~ ~ ~.. ]~ / ,' LIC~ ~D ~Y~ ~EE~T ~W ~ , ~ -, ~= ,for water d~str bobng , , ~ r ~ ,~tem; ~ p nO shall r r f, ? .t _! %',